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Bullying, Harassment, or Intimidation Incident School Investigation Form

About this Form

Form number: 230-36

Audience:  School Staff

Last revised: July 2018

Related Forms

Form 230-35 - Bullying, Harassment, or Intimidation Reporting Form

This form is to be confidentially maintained in accordance with the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g.

Instructions: Upon receipt of MCPS Form 230-35, Bullying, Harassment, or Intimidation Reporting Form, the  school principal/designee must promptly conduct an adequate, reliable, and impartial investigation. The investigation must be documented by completing this form. Complete one form for each alleged student victim. The school principal/designee will contact the parents/guardians of all students involved in the incident of bullying, harassment, or intimidation within three days of receiving MCPS Form 230-35. (Board Policy JHF, Bullying, Harassment, or Intimidation and MCPS Regulation JHF-RA, Bullying, Harassment, or Intimidation).

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